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Yibian
 Shen Yaozi 
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Fang nameLesser Abdomen Stasis-Expelling Decoction
sourceYilin Gaicuo
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[Preparation method and dosage]

Fennel (Fructus Anisi Stellati) 3gm
Dried Ginger (Rhizoma Zingiberis) 1gm
Corydalis Tuber (Rhizoma Corydalis) 3gm
Myrrh (Myrrha) 6gm
Chinese Angelica (Radix Angelicae Sinensis) 9gm
Sichuan Lovage Rhizome (Rhizoma Chuanxiong) 6gm
Cassia Bark (Cortex Cinnamomi) 3gm
Red Peony Root (Radix Paeoniae Rubra) 6gm
Typha (Pollen Typhae) 9gm
Trogopterus Dung (Faeces Trogopterori) 6gm

[Efficacy]

Invigorating blood and resolving stasis, warming meridian and relieving pain.

[Indications]

Static blood in the lower abdomen is painful or not painful, or painful but no lumps, or less abdominal distension and fullness, or lower back pain during menstruation, abdominal distension and fullness or menstruation, three or five times in a row, intermittent and recurring, menstruation Purple or black color or blood clots, or metrorrhagia and metrostaxis combined with lower abdominal pain, etc.

[Prescription]

Fangzhong Cassia Bark, Dried Ginger, 小fen warming meridian and dissipating cold, leading to lower energizer to disperse uterus. with appendages cold; Yanhu moving qi to disperse blood stasis, subduing swelling to relieve pain; Typha, Trogopterus Dung common names Sudden Smile Powder, invigorating blood and resolving stasis, dissipating stasis and relieving pain, among which Typha is used raw, whichever has stronger invigorating blood and resolving stasis power, Trogopterus Dung is stir-fried, focusing on relieving pain without damaging stomach qi; Chinese Angelica invigorating blood and nourishing blood, removing blood stasis without damaging new blood; Sichuan Lovage Rhizome It is blood middle qi medicine, mixed with Red Peony Root to invigorate blood and remove stagnation, dissipate stagnation and regulate menstruation. The combination of various medicines has the effect of invigorating blood and resolving stasis, warming meridian and relieving pain. It is a commonly used prescription in gynecology.

[Key points of syndrome differentiation]

  1. Lower abdominal blood stasis.
  2. menstruation stabbing pain when blood clots come.

[Addition and subtraction]

  1. Those with menstrual pain and cold-dampness: add Atractylodes Rhizome, Poria, Coix Seed.
  2. Menstrual pain, yang deficiency, cold doubt: add Morinda, Common Curculigo Rhizome.
  3. Those with distending pain in the chest and hypochondrium: add Curcuma Root, Chinaberry Fruit.
  4. Those with soreness in the back and knees during menstruation: add Dipsacus, Twotooth Achyranthes Root, Eucommia Bark, Chinese Taxillus Herb .
  5. Those with qi deficiency: go to Trogopterus Dung, Sichuan Lovage Rhizome and add Astragalus Root, Tangshen > , White Atractylodes Rhizome.
  6. Abdominal mass qi stagnation: add Cyperus, Lindera. For severe blood stasis, add Sparganium Rhizome, Zedoary Rhizome, Twotooth Achyranthes Root.
  7. sterility syndrome: sterility caused by cold blood stasis blocking the cell veins: add Lindera, Dodder Seed, Cyperus, Chinese Taxillus Herb.

[Attention to taboos]

Use with caution if there is no static blood in the lower abdomen and pregnant women.

[Modern application]

This prescription dilates blood vessels, relieves smooth muscle spasm, anticoagulates, analgesics, and reduces inflammation. Used for dysmenorrheal, menstrual irregularities, amenorrhea, sterility, uterus fibroids, pelvic inflammation, urinary tract stones, and lower abdominal contusion.

[Other related items]

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